Jinnaphat Sangngam 1Tassanee Prasopkittikun 1Apawan Nookong 1Punchama Pacharn 1Chalermpol Chamchan1
作者信息
摘要
Abstract
Objective:To examine causal relationships among asthma self-management behaviors,asthma symptom control,health-related quality of life and the influencing factors among Thai adolescents.Methods:A cross-sectional study was conducted using convenience sampling.A total of 240 adolescent-caregiver dyads from three tertiary hospitals in Bangkok,Thailand was ultimately included.Interviews and self-administered questionnaires assessing health-related quality of life,asthma symptom control,asthma self-management behaviors,health literacy,depression,comorbidities,family support,peer support,home environmental management,and relationships with health care providers were admin-istered between November 2020 and July 2021.A hypothesized model based on the revised self-and family-management framework was proposed.Data were analyzed using descriptive statistics and path analysis.Results:It was shown that the proposed model was a good fit for the empirical data and accounted for 67.2％of the variance in health-related quality of life.Depression and asthma symptom control directly affected quality of life(β=-0.132,P＜0.05;and β=0.740,P＜0.05,respectively),while asthma self-management behaviors did not.Both depression and asthma self-management behaviors had indirect effects on the quality of life through asthma symptom control(β=-0.382,P＜0.05;and β=0.225,P＜0.05,respectively).Health literacy(β=0.343,P＜0.05),family support(β=0.167,P＜0.05),peer support(β=0.163,P＜0.05),and relationships with health care providers(β=0.181,P＜0.05)also showed direct effects on asthma self-management behaviors.Conclusion:The findings confirmed the causal relationships among asthma symptom control,self-management behaviors,depression and health-related quality of life.Health literacy,support from family and peers,and relationships with health care providers were also found to influence asthma self-management behaviors.To achieve effective asthma control and good quality of life,a nursing inter-vention promoting asthma self-management for Thai adolescents should be developed.Early detection and intervention of depressive symptoms are also suggested.关键词
青少年/哮喘/自我管理/专业人员与患者关系/生活质量/社会支持/泰国Key words
Adolescent/Asthma/Self-management/Professional-patient relations/Quality of life/Social support/Thailand
